Nicola Roselli

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0053121 Issued in NY

Legal business name

NICOLA ROSELLI

Doing business as

Nick Roselli Occupational Therapy

Practice address

5847 Francis Lewis Blvd Ste 200
Oakland Gardens, NY 11364-1601

Phone

(718) 454-0842

Fax

(718) 454-1704

NPI assigned

May 12, 2017

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalie Bender

Title

Office Manager

Phone

(718) 454-0842

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NICK ROSELLI OCCUPATIONAL THERAPY Doing business as

Tax ID family

Nicola Roselli3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nicola Roselli

  • Customized Equipment (DME)
  • Bronx, NY
  • NPI 1063688471
  NPD tax ID
• Nicola Roselli

  • Customized Equipment (DME)
  • Oakland Gardens, NY
  • NPI 1851558878
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicola (Nick) Roselli, OTR.CHT

  • Specialist
  • Oakland GDNS, NY
  • NPI 1427085885
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1790212421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD STE 200",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-454-0842",
            "fax_number": "718-454-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD STE 200",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-454-0842",
            "fax_number": "718-454-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLA ROSELLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-454-0842"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "0053121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02222993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NICK ROSELLI OCCUPATIONAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.